Steven Randall Koe, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A45900 Issued in CA

Practice address

1000 Newbury Rd
Suite 115
Newbury Park, CA 91320-6436

Phone

(805) 375-1611

Fax

(805) 375-1622

NPI assigned

Sep 2, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Access TLC Home Health Care Home health agency, San Fernando, CA, CCN 058366
• Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IDEDCA/Endpoint/IDEDCA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Monica Su MD Inc

  • General Practice Physician
  • Newbury Park, CA
  • NPI 1881074300
  NPD
• Los Robles Regional Medical Center

  • General Acute Care Hospital
  • Thousand Oaks, CA
  • NPI 1033163019
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Los Robles Regional Medical Center

  • General Acute Care Hospital
  • Thousand Oaks, CA
  • NPI 1306890389
  Care Compare affiliation
• Vital Plus Home Health Care

  • Case Manager/Care Coordinator
  • San Fernando, CA
  • NPI 1619045176

  Home health agency

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1174517296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NEWBURY RD",
            "address_2": "SUITE 115",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206436",
            "telephone_number": "805-375-1611",
            "fax_number": "805-375-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NEWBURY RD",
            "address_2": "SUITE 115",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206436",
            "telephone_number": "805-375-1611",
            "fax_number": "805-375-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOE",
        "first_name": "STEVEN",
        "middle_name": "RANDALL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A45900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CARRIER",
            "identifier": "110233001",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOA459000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul C Kang, PHARMD
• Jennifer Lauren Katz, CFNC
• Kentucky Sleep Services, LLC
• Justina Kimball
• Jenna Ko, D.C.
• Eliza Koh, DDS
• Kristie Jo'S Love, Comfort and Care LLC
• Timothy Frederick Kuenn, P.T.
• Stephen P. Kundell, M.D.
• Emily Anne Kyle, LICENSED MIDWIFE

• Internal Medicine Physician in Newbury Park, CA
• Providers in Newbury Park, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.